摘要
目的观察评价分析护理干预结合等速肌力训练治疗肩关节周围炎(SP)的临床效果。方法选择2019年10月至2021年1月期间佛山市第五人民医院康复医学科收治的SP患者78例,随机对照试验分为两组,每组39例。对照组男9例,女30例,年龄(47.97±6.95)岁;对照组男10例,女29例,年龄(48.25±7.16)岁。对照组给予采用常规康复护理方法,观察组给予护理干预结合等速肌力训练措施。比较两组患者的临床护理效果。结果两组患者干预后视觉模拟评分法(VAS)评分较护理前均有下降(均P<0.0001),而观察组VAS评分明显低于对照组(t=5.3719,P<0.0001);两组患者干预后关节活动度(ROM)评分较干预前均显著升高(均P<0.0001),观察组ROM评分明显高于对照组(t=15.2906,P<0.0001);两组患者干预后日常生活能力(Ability of Daily Living,ADL)评分较干预前均显著升高(均P<0.0001),而观察组ADL评分明显高于对照组(t=10.8724,P<0.0001);观察组干预后护理满意度明显高于对照组[97.46%(38/39)比79.49%(31/39)],差异有统计学意义(χ2=6.1546,P=0.0131)。结论护理干预结合等速肌力训练治疗SP,可以显著地减轻患者的疼痛,改善关节活动度,有效地提高患者的日常生活能力及护理满意度,临床上值得大力推广应用。
Objective To observe,evaluate,and analyze the clinical effects of nursing intervention combined with isokinetic training in the treatment of scapulohumeral periarthritis(SP).Methods A total of 78 SP patients who were admitted to Department of Rehabilitation,Foshan Fifth People's Hospital from October 2019 to January 2021 were selected,and were randomly divided into a control group and an observation group,with 39 cases in each group.There were 9 males and 30 females in the control group;they were(47.97±6.95)years old.There were 10 males and 29 females in the observation group;they were(48.25±7.16)years old.The control group took conventional rehabilitation nursing,and the observation group were given nursing intervention and isokinetic muscle training.The clinical nursing effects of the two groups were compared.Results The scores of Visual Analogue Scale(VAS)of the two groups were lower after than before the intervention(both P<0.0001).The VAS score in the observation group was lower than that in the control group(t=5.3719,P<0.0001).The scores of range of motion(ROM)and Ability of Daily Living(ADL)of the two groups were higher after than before the intervention(all P<0.0001).The scores of ROM and ADL in the observation group were higher than those in the control group after the intervention(t=15.2906,P<0.0001;t=10.8724,P<0.0001).The nursing satisfaction of the observation group after intervention was significantly higher than that of the control group[97.46%(38/39)vs.79.49%(31/39),χ2=6.1546,P=0.0131].Conclusion Nursing intervention combined with isokinetic training for patients with SP can significantly reduce their pain,greatly improve their ROM,ADL,and nursing satisfaction,so it is worth being clinically generalized.
作者
冼佩玲
麦光怀
杨祥妹
赖瑞明
王志军
Xian Peiling;Mai Guanghuai;Yang Xiangmei;Lai Ruiming;Wang Zhijun(Department of Rehabilitation,Foshan Fifth People's Hospital,Foshan 528211,China)
出处
《国际医药卫生导报》
2021年第15期2237-2241,共5页
International Medicine and Health Guidance News
基金
佛山市卫生和计划生育局医学科研课题(20160118)。
关键词
肩关节周围炎
护理干预
等速肌力训练
康复效果
Scapulohumeral periarthritis
Nursing intervention
Isokinetic training
Rehabilitation effect
